We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Intrauterine fetal bradycardia after accidental administration of the anesthetic agent in the subdural space during epidural labor analgesia -A case report-.
- Authors
Sik Moon, Ho; Young Chon, Jin; Joon Yang, Weon; Jin Lee, Hae
- Abstract
Subdural injection of epidural anesthesia is rare and is usually undiagnosed during epidural anesthesia causing severely delayed maternal hypotension, hypoxia, and fetal distress. A 38-year-old primiparous woman was administered epidural labor analgesia at 40+6 weeks' gestation, and developed progressive maternal respiratory depression, bradycardia, and hypotension after accidental subdural administration of the anesthetic agent. Furthermore, fetal distress occurred soon after administration. The patient was managed with oxygen, position changes, fluid resuscitation, and ephedrine. Intrauterine fetal resuscitation was successfully performed with atropine before cesarean section, and a healthy baby was delivered. Although subdural injection is uncommon, this case emphasizes the importance of anesthesiologists monitoring patients for a sufficient period after epidural labor analgesia, and being prepared to perform maternal or fetal resuscitation. (Korean J Anesthesiol 2013; 64: 529-532)
- Subjects
BRADYCARDIA; FETAL development; ANESTHETICS; EPIDURAL anesthesia; CESAREAN section; ATROPINE
- Publication
Korean Journal of Anesthesiology, 2013, Vol 64, Issue 6, p529
- ISSN
2005-6419
- Publication type
Article
- DOI
10.4097/kjae.2013.64.6.529